Best of all, this book zeroes in on how to develop an action plan that trains and prepares staff members to be in "survey mode" everyday—not just when there's a knock at the door.
Your one-stop source to prepare for unannounced surveys!
One common thread connects all the different types of unannounced or unexpected surveys: the need for preparation. To help you, this essential survey prep guide provides:
- PLAN OF ACTION for the day surveyors arrive on site
- INSTRUCTIONS for setting up a "Command Central" to manage your survey preparation and the actual survey day
- Preparation GUIDELINES for JCAHO unannounced survey, as well as other regulatory surveys, such as "special cause" surveys, CMS validation surveys, and licensure surveys
- Accounts of REAL-LIFE survey surprises
- All-encompassing survey preparation ADVICE—everything from departmental competencies to the chain of command and individual job roles when surveyors arrive
Unannounced survey prep just got easier!
Available exclusively in Unannounced Survey-dozens of field-tested forms, checklists, and tips!
This one-of-a-kind resource provides useful forms and checklists—taken straight from the field—that you can adapt and implement immediately in your own facility. You'll have everything you need to succeed—right at your fingertips!
Take a look at the sample tools you'll receive:
- All broadcast e-mails to notify staff of surveyors' presence
- Actual survey questions
- Potential agendas for eight different types of unannounced surveys
- And much more!
Plus, you'll have access to REAL-LIFE CASE STUDIES. Learn how the author's facility reacted to and survived a surprise for-cause survey and two CMS surveys, as well as how other hospitals are preparing, and more!
Surveyors Have Arrived. Now what?
Not only does your organization need to stay up-to-date with JCAHO standards and the National Patient Safety Goals, you need to have a plan in place, ready to put into action when JCAHO surveyors land on your doorstep. The unannounced survey process probably has you asking:
- Who's notified of a surveyor's arrival?
Imagine the potential damage if a staff member at your front desk says to the surveyor, "Go up to the 3rd floor, you'll find our CEO's office at the end of the hall." These instructions give the surveyor oodles of time to inspect your facility unescorted! - How do I notify my entire hospital that a surveyor has arrived?
One word: Quickly. For example, implement a code word that is broadcasted over the PA system to let staff know a surveyor is present and it's time to swing into survey mode. - What if our hospital leaders are not present on survey day?
Your hospital must be able to run—and be surveyed—without your leaders. Hospitals must have back-up action plans. Plan B is absolutely imperative, and a Plan C isn't a bad idea either.
Eliminate the fear that surrounds unannounced surveys. Be confident on survey day!
An unannounced survey is stressful enough. Add to that the chaos and panic of unprepared staff, and you're setting your facility up for disaster. With a copy of Unannounced Survey: Frontline Strategies to Prepare Your Organization for Surprise Surveys, you'll have the tried-and-true preparation advice, tips, and tools you need to be prepared for survey—no matter what day your surveyor arrives.
The Author
Missi Halvorsen, RN, BSN, author of the best-selling HCPro publication Tracer Methodology, is the senior consultant for accreditation for Baptist Health, a five-hospital health care system that services the needs of a five-county region in northeast Florida. Her responsibilities include JCAHO prep for adult and pediatric inpatient, outpatient, ambulatory, behavioral health, and home care services. She chairs the Systemwide Accreditation Committee, dedicated to continuous survey readiness, and sits on Patient Safety and Environment of Care committees. She is also a member of local and state Quality Improvement Chapters.
Ms. Halvorsen has been a nurse for over 18 years, with experience in critical care, home care, quality, and performance improvement, and has been actively involved in JCAHO prep since 1998. In August 2004, JCAHO special surveyors unexpectedly arrived at Baptist Health's door. Under Ms. Halvorsen's leadership, the hospital passed its unannounced survey with flying colors— despite also being in emergency preparedness mode for the arrival of a major hurricane.
Additionally, Baptist Health Center, one of her facilities, earned the JCAHO's esteemed Ernest A. Codman Award for hospitals in 2003 in recognition for an initiative that reduced the infection rates of post-operative, coronary artery bypass graft surgery patients.
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